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BRENNIN KYLE O'BRIEN PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1639782311

Individual Registrant:
 BRENNIN KYLE O'BRIEN PHARMD
Gender: M
Sole Proprietor

Location and contact information for practice:
111 N MAIN AVE  BAUDETTE, MN 56623-2466 US
Tel: 218-634-1236  Fax: --

Contact information for business:
111 N MAIN AVE  BAUDETTE, MN 56623-2466 US
Tel: --  Fax: --

Registration Information:
NPI: 1639782311
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
MN124709

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MN - Page 1



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